摘要
目的食管裂孔疝的加速康复护理围手术期的护理措施的优化。方法回顾分析在接受腹腔镜下食管裂孔疝修补+胃底折叠术治疗的食管裂孔疝的32例患者围手术期的系统性护理措施,总结食管裂孔疝围手术期的快速康复护理要点。结果32例患者均顺利完成手术,术后胃管留置(22.4±3.5)h、腹腔引流管(30.2±4.6)h、1例出现气胸的胸腔闭式引流69 h;恢复排气时间(21.3±2.4)h、排便时间(37.6±3.2)h、进食时间为(23.5±2.6)h;并发症发生率方面出现吞咽困难2例、气胸1例。结论围手术期的优化护理措施,一定程度上加快了食管裂孔疝患者术后康复。
Objective To provide more nursing experience for enhanced recovery after surgery as well as optimization of nursing measures during perioperative period in hiatal hernia patients.Methods The systematic nursing measures in 32 patients undergoing hiatal hernia in our hospital during perioperative period were retrospectively analyzed,and the main points of nhanced recovery after surgery in nursing during perioperative period of hiatal hernia were summarized.Results All 32 patients successfully received the operation,postoperative gastric tube retention for 22.4±3.5 hours,peritoneal drainage tube for 30.2±4.6 hours,a case of pneumothorax in the thoracic closed drainage for 69 hours,recovery exhaust time was 21.3±2.4 hours,defecation time was(37.6±3.2)hours and feeding time was 23.5±2.6 hours;There were complicated with 2 cases of dysphagia and 1 cases of pneumothorax.Conclusion The optimal nursing measures in perioperative period of our department have accelerated the postoperative rehabilitation of patients with hiatal hernia to a certain extent.
作者
于洪燕
马宁
周太成
陈双
Yu Hongyan;Ma Ning;Zhou Taicheng;Chen Shuang(Department of Gastroenterological Surgery and Hernia Center,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,Guangzhou 510655,China)
出处
《中华胃食管反流病电子杂志》
2019年第3期173-176,共4页
Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)
关键词
食管裂孔疝
加速康复外科
护理
Hiatal hernia
Enhanced Recovery After Surgery
Nursing
